Things to Note Before You Apply

CLUBS SA

Clubs SA House

222a Henley Beach Road

Torrensville SA 5038

Ph: (08) 8290 2200

Fax: (08) 8290 2222

Email:

Things to note before you apply:

The approval process may take up to 3 months depending on the nature of the application.
Funding should not to be used for: Capital works e.g. kitchen fit out, tables, chairs, toilets, salaries, consultancy fees, travel, accommodation, meals etc.
The funding requires two levels of approval:

Step 1 – Approval by the Clubs SA Board which then makes a recommendation to the Independent Gaming Corporation Board.
Step 2 – Final approval by the Independent Gaming Corporation Board.

Unfortunately due to the large number of applications, specific feedback cannot be provided to unsuccessful applicants.
If necessary, you are required to supply quotes to match the total funding dollars being requested.
Please provide full current financial documentation in relation to your Associationto confirm its current financial position,i.e.profit/loss, bank statement(s)and the most recent Annual Report.
Every effort should be made to purchase the goods from South Australian suppliers.
Please note: If successful, the Club / Association will be required to have representatives available for a photo opportunity at completion of the project. You will be required to supply suitable information and photos if the applicant is in a far regional location.

ORGANISATION:......

ADDRESS:......

TELEPHONE:......

E-MAIL:......

KEY CONTACT NAME:......

POSITION HELD:......

HAVE YOU CONSULTED WITH YOUR PEAK BODY AND DO THEY SUPPORT THIS APPLICATION:

YES or NO……………………….

BOARD OF

MANAGEMENT:......

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KEY PERSONNEL

NAMES AND TITLES:......

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TOTAL FINANCIAL ASSISTANCE SOUGHT: $...... (Inc GST)

ARE YOU REGISTERED FOR GST YES OR NO ...... * this is required.

EXECUTIVE SUMMARY OF WHAT THE FINANCIAL ASSISTANCE IS SOUGHT FOR:

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BRIEF BACKGROUND ON THE ORGANISATION & PURPOSE OF THE ORGANISATION:

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DETAILS OF THE PROJECT:

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TIME FRAME (if a long term project – no longer than 12 months):

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IS THE PROJECT TARGETED IN METROPOLITAN OR REGIONAL AREAS OR BOTH? :

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INDICATE WHAT THE KEY COMMUNITY BENEFITS GOING TO BE?:

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INDICATE WHICH KEY COMMUNITY GROUP WHICH THE PROJECT WILL ASSIST eg: children’s support group, young people “AT RISK”

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IDENTIFY MARKETING ACTIVITIES TO PROMOTE THE PROJECT:

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IDENTIFY KEY PROMOTIONAL OPPORTUNITIES FOR CLUBS SA e.g: media opportunities,naming rights, newsletters etc.

Where possible, the Clubs SA logo should be displayed on all apparel requested under the Grant, (hats, playing strips etc).Thecost of this branding is to be included in any quote.

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BREAKDOWN OF FUNDS SOUGHT:

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ANY OTHER ADDITIONAL INFORMATION AS REQUIRED:

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